Allanah Headley, ED.D, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19522 Issued in FL

Practice address

4403 Carousel Rd
Orlando, FL 32808-5101

Phone

(321) 412-5007

NPI assigned

Aug 28, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total One Resources Inc

  • Community/Behavioral Health Agency
  • Oak Park, MI
  • NPI 1831455112
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1699292847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 CAROUSEL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328085101",
            "telephone_number": "321-412-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 CAROUSEL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328085101",
            "telephone_number": "321-412-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADLEY",
        "first_name": "ALLANAH",
        "name_prefix": "Dr.",
        "credential": "ED.D, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699292847",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa C Hdebeche-Adams, M.D.
• Conny He, PHARM.D.
• Zhijian He
• Head to Toe Kids Therapy, LLC
• Adrienne Headley
• Sabrina Headley, MSW
• Headway Therapy P.a.
• Heal Simply, PLLC
• Heal With Me Counseling
• Healing and Growth Counseling, LLC

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.